- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance Position Summary: The Director of Provider Relations leads the strategic vision and operational execution of provider ... role is responsible for cultivating high-impact relationships with key healthcare providers, optimizing network performance, and ensuring compliance with regulatory… more
- Abt Global Inc. (Rockville, MD)
- …Opportunity** As a Project Director you will lead and manage a large and complex project with a focus on healthcare data analysis and federal program policy. ... delivery of all project outputs. + Lead the design and oversight of complex data analysis initiatives, ensuring methodological rigor and actionable insights. + Serve… more
- WCG Clinical (Raleigh, NC)
- Data Analytics & Insights (DAI) Product Solutions, Associate Director (Remote) **General Information** **Location:** Cary, NC, Remote **Organization:** ... and geographic location. **JOB SUMMARY:** The DAI Product Solutions Associate Director is a key leader responsible for advancing business-critical initiatives across… more
- BeOne Medicines (San Mateo, CA)
- …Understand the current and emerging AI and machine learning techniques to analyze complex datasets related to market access, healthcare economics, and patient ... **General Description:** The Director , Strategic Evidence, will possess an understanding of...customers, and / or past direct work experience at claims , EMR / EHR, real world data vendors, IDNs,… more
- Lundbeck (Deerfield, IL)
- …Do you want to join a team where the mission is meaningful, the challenges are complex , and you can directly see the results of your hard work? Lundbeck is a global ... United States** **Summary:** The Manager, Field Compliance will support the Director , Field Compliance and Investigations with driving and implementing all elements… more
- Terumo Medical Corporation (Chicago, IL)
- …Terumo personnel to ensure the success of the project. + Collaborate with Director , Care Pathways and Chief Architect to explore and integrate new changes to ... (QA), and by ensuring all promotional messaging (ie, branding strategies, product claims , etc.) and materials (ie literature) discussed or presented to customers are… more
- AIG (Jersey City, NJ)
- Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within ... an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability...+ 7+ years of medical malpractice / professional liability complex claims and/or complex litigation… more
- Humana (Raleigh, NC)
- …understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Juneau, AK)
- …understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- UNC Health Care (Chapel Hill, NC)
- …health and well-being of the unique communities we serve. **Summary** : Reporting to the Director of Claims & Litigation, the Claims and Litigation Manager ... and the monitoring of incidents that develop into claims against healthcare providers and staff of...claims information in the internal database. Assists the Director in other projects related to claims … more
- HCA Healthcare (Denver, CO)
- …while giving to the community. We are seeking distinguished applicants for our Director Risk Management opening. Help HCA Healthcare create healthier tomorrows ... is hired below midpoint of the range. **Introduction** Last year alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a(an) … more
- Henry Ford Health System (Detroit, MI)
- …costs and management of System reputation Will work under the guidance of Senior Claims Managers, Senior Claims Consultant, Director of Insurance, and Vice ... professional and general liability, workers compensation and employers liability claims review, investigation, management and disposition, including financial mitigation… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Proven experience in managing complex risk management programs in an integrated complex healthcare setting + Strong knowledge of healthcare laws, ... **Overview** **Be inspired. Be rewarded. Belong. At Emory Healthcare .** At Emory Healthcare we fuel...more **Work Location:** Atlanta, GA **Description** + The Corporate Director of Risk Management plays a critical role in… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …excellence of our academic community. **Description** **Architect the Future of Healthcare Delivery** Emory Health Plan seeks a visionary transformation leader to ... orchestrate enterprise-wide initiatives that will redefine how 63,000 members experience healthcare . As we scale from **$800M to $1.3B** over three years, you'll… more
- Tenet Healthcare (Commerce Township, MI)
- Director of Revenue Analysis - 2506003876 Description : Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your ... DMC Huron Valley-Sinai Hospital , we're seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient… more
- The Cigna Group (Independence, OH)
- **WORK LOCATION: Cleveland or Independence, OH area.** The **Provider Contracting Director ** serves as an integral member of the Provider Contracting Team and ... for a local given territory. **DUTIES AND RESPONSIBILITIES** + Manages complex contracting and negotiations for fee for service and value-based reimbursements… more
- Waystar (Atlanta, GA)
- …with hands on experience in the financial and operational challenges facing the healthcare provider market. We are looking for someone who can lead game changing ... features into product releases. This professional self-starter will report to a Director , Product Management and work closely with key stakeholders in data science,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …have experience working with adults in clinical behavior analysis within complex settings and demonstrate proficiency in staff training and behavioral consultation. ... Familiarity with interdisciplinary team collaboration is essential, particularly in healthcare or psychiatric environments. The primary role of this position will be… more
- Fresenius Medical Center (West Chicago, IL)
- …dashboards). + Familiarity with healthcare data (EHR/PM systems, patient flows, claims , outcomes). + Ability to analyze complex data and present insights ... + **Must have healthcare experience.** **Key Responsibilities** + Clean, and transform... experience.** **Key Responsibilities** + Clean, and transform large healthcare datasets from multiple sources (EHR, PM systems, financial,… more
- Mount Sinai Health System (New York, NY)
- …and strategic business needs (eg, market sizing), and healthcare topics (eg, claims analysis) with guidance from Quality Director ? Effective communicator ? ... and executive-facing roles ? Advanced analytical capabilities required, experience with healthcare claims analysis and clinical quality measures highly preferred… more
